Active NPIIndividual provider

Cheryl R Godbout, LICSW

Social Worker in Mattapan, Massachusetts

NPI Number1396091526
Practice location
1135 Morton St, Mattapan, MA 02126-2834
Fax
617-533-2401
Last updated
July 25, 2012

Cheryl R. Godbout is a Social Worker based in Mattapan, MA. Cheryl R. Godbout practices in Mattapan, MA and has the professional credentials of LICSW. The NPI Number for Cheryl R. Godbout is 1396091526 and holds a License No. 111318 (MA). The current practice location address for Cheryl R. Godbout is 1135 Morton St, Mattapan, MA 02126-2834 and can be reached out via phone at 617-533-2400 and via fax at 617-533-2401.

Provider Profile Details

NPI Number
1396091526
Provider Name
Cheryl R. Godbout
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
1135 Morton St, Mattapan, MA 02126-2834
Phone Number
617-533-2400
Fax Number
617-533-2401
Primary Taxonomy
Social Worker · 104100000X
Sole Proprietor
No
Provider Enumeration Date
July 25, 2012
Last Update Date
July 25, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
1135 Morton St
Mattapan, MA 02126-2834
Zip
02126-2834
Phone Number
617-533-2400
Fax Number
617-533-2401
Mattapan, MA 02126Get directions →

Provider Business Mailing Address Details

Address
1135 Morton St
Mattapan, MA 02126-2834
City
Mattapan
State
MA
Zip
02126-2834
Phone Number
617-533-2300
Fax Number
617-533-2341

License Information

License Number
111318
License State
MA
Taxonomy
Social Worker · 104100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Cheryl R Godbout, LICSW?

The NPI number of Cheryl R Godbout, LICSW is 1396091526. It was assigned on July 25, 2012 and is currently active in the NPPES registry.

What is the specialty of Cheryl R Godbout, LICSW?

Cheryl R Godbout, LICSW is registered under the primary taxonomy Social Worker (code 104100000X), licensed in MA under license number 111318.

Where does Cheryl R Godbout, LICSW practice?

The practice location is 1135 Morton St, Mattapan, MA 02126-2834. The office can be reached at 617-533-2400 (phone) or 617-533-2401 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1396091526 directly on the NPPES registry website.

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